Based on observations, interviews, and record review the facility failed to provide care and services according to accepted standards of clinical practice for four residents (#2, #3, #8, and #13) out of thirteen residents sampled. Based on record review, interviews, hospital record review, facility documentation and policy review the facility failed to ensure one (Resident #2) of three residents reviewed for diabetic management was free from neglect regarding neglecting to provide insulin to a Resident admitted to the facility with a diagnosis of insulin dependent Type II Diabetes. Additionally, based on observations, interviews, and record review, the facility failed to ensure pain was managed effectively for three residents (#3, #8, and #13) out of three that were reviewed for pain. …
F658 citations in Florida
Professional standards of care · Resident Assessment and Care Planning Deficiencies
Ensure services provided by the nursing facility meet professional standards of quality.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
Against expectation — 2025
Florida cites F658 less often than its own record predicts
0.07 times the national share — cited less often here than elsewhere.
Of every deficiency written in Florida in 2025, this is the portion that was F658.
Each state is measured against its own expected share, not against other states.
In the surveyor’s words
What Florida surveyors wrote
F658 findings written in Florida, one from each severity band recorded here, most serious first.
Severity is as the surveyor wrote it. Some findings had already been corrected before the survey.
Based on record reviews and staff interviews, the facility failed to provide care and services which met professional standards of quality by failing to ensure all newly admitted residents were appropriately assessed and observed for changes in condition. It failed to ensure the review of all pertinent information provided by the hospital at the time of admission, including medications for one (Resident #1) of three sampled residents, and it failed to ensure the appropriate administration of medication (anticoagulant) as ordered for one (Resident #2) of three sampled residents. …
Based on observation, interview, and record review, the facility failed to provide services that met professional standards for two (Resident #37 and Resident #2) of ten reviewed for skin issues and one (Resident #43) of three reviewed for feeding tube management.Findings include:During an observation on 8/09/2026 at 10:26 AM Resident #37 was lying in bed on her left side. There was a bandage on her lower right forearm dated 8/7. During an interview on 8/09/2026 at 1:22 PM Resident #37's daughter/Responsible Party stated that she had noticed the bandage on her mother's arm. She presumed it was a skin tear. …
The short window
Recent years
| Year | Share of Florida citations | vs expected |
|---|---|---|
| 2023 | 0.39% | 0.24× |
| 2024 | 0.28% | 0.17× |
| 2025 | 0.13% | 0.07× |
Shares of citations, not counts: earlier years hold fewer inspections.
What else Florida surveyors cite →
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